Collaborations between tribal and nontribal organizations bring diverse communities together, often for the first time, to educate and learn, to address misinterpretations of the past, and to share cultural resources and knowledge. By examining data obtained through a nationally distributed survey, this research explores how successful partnerships between tribal and nontribal institutions are initiated, developed, and maintained; examines the degree to which the Protocols for Native American Archival Materials were used in the development of policies, procedures, and memorandums of understanding; and reveals the "lessons learned" across a wide range of collaborative projects and partnerships. This overview of collaborative models is intended to offer best practices for both tribal and nontribal organizations interested in sharing useful skills, knowledge, and resources through partnerships.

Con la finalidad de explorar la relación entre depresión, ansiedad, autoeficacia para bajar de peso y cambio de peso corporal en mujeres con sobrepeso y obesidad sometidas a tratamiento nutricional, se llevó a cabo un estudio trasversal de tipo correlacional, donde se aplicaron el IDARE, el BDI-II y la Escala de Autoeficacia a 122 pacientes de dos clínicas de medicina familiar de Ciudad de México. Los resultados muestran que entre las personas obesas hubo una mayor prevalencia de depresión, y que mayores niveles de ansiedad y depresión se asociaron con una menor eficacia percibida para realizar acciones para bajar de peso. Entre mayor fue la ansiedad, menor fue la disminución del peso corporal en las pacientes.

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PurposeTo describe data on epidemiology, microbiology, clinical characteristics and outcome of adult ICU patients with secondary peritonitis, with special emphasis on antimicrobial therapy and source control. Methods Post hoc analysis of a multicenter observational study (Abdominal Sepsis Study, AbSeS ) including 2621 adult ICU patients with intra-abdominal infection in 306 ICUs from 42 countries. Time-till-source control intervention was calculated as from time of diagnosis and classified into 'emergency' (<2 hours), 'urgent' (2-6 hours), and 'delayed' (>6 hours). Relationships were assessed by logistic regression analysis and reported as odds ratios (OR) and [95% confidence interval]. ResultsThe cohort included 1077 cases of microbiologically confirmed secondary peritonitis. Mortality was 29.7%. The rate of appropriate empiric therapy showed no difference between survivors and non-survivors (66.4% vs . 61.3%, p=0.102). A stepwise increase in mortality was observed with increasing SOFA scores (19.6% for a value £4 to 55.4% for a value >12, p<0.001). The highest odds of death were associated with septic shock .00]), late-onset hospital-acquired peritonitis ) and failed source control evidenced by persistent inflammation at Day 7 ). Compared with 'emergency' source control intervention (<2 hours of diagnosis), 'urgent' source control was the only modifiable covariate associated with lower odds of mortality ). Conclusions 'Urgent' and successful source control were associated with improved odds of survival. Appropriateness of empirical antimicrobial treatment did not significantly affect survival suggesting that source control is more determinative for outcome.

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